Logopedics, Phoniatrics and Audiology, Department of Clinical Sciences - Lund, Lund University, Lund, Sweden.
J Am Acad Audiol. 2020 Oct;31(9):656-665. doi: 10.1055/s-0040-1718702. Epub 2020 Dec 9.
The impact of hearing loss on the individual and his/her everyday life can be assessed using questionnaires with the purpose to improve rehabilitation quality. The Abbreviated Profile of Hearing Aid Benefit (APHAB) can be used to evaluate disability in everyday life associated with hearing loss. Previous studies have examined APHAB outcomes in sensorineural hearing loss and we do not know whether the type of hearing loss influence questionnaire outcomes.
The purpose was to evaluate the psychometric properties of a Swedish translation of the APHAB and the influence of demographic variables on the outcome in a clinical sample.
A descriptive, cross-sectional study in a clinical sample.
Forty-eight participants with no hearing aid experience seeking audiological rehabilitation for the first time. These participants represented different degrees of hearing loss and three types of hearing loss: monaural mixed, binaural mixed, and binaural sensorineural hearing loss.
Pure-tone audiometry was conducted and the participants completed the unaided APHAB during their first appointment at the clinic. Psychometric properties of the questionnaire were examined and the influence of age, gender, type of hearing loss, and degree of hearing loss on APHAB scores were studied.
The psychometric properties indicate high test-retest reliability but there seems to be some potential issues with the properties of the reverberation (RV) subscale. The items from the RV subscale failed to load as a separate component and the internal consistency of the subscale improved by removing four items (items 1, 9, 11, and 16). With few exceptions, APHAB scores were not influenced by age, gender, or type of hearing loss. APHAB scores were generally influenced by degree of hearing loss in both the best and the worst ear.
This Swedish version of the APHAB can be additionally improved by addressing the inconsistencies found in the RV subscale by rephrasing or removing some items. The degree of hearing loss has some influence on questionnaire outcomes but not age, gender, and type of hearing loss.
可以使用问卷评估听力损失对个人及其日常生活的影响，目的是提高康复质量。简短听力辅助获益量表（APHAB）可用于评估与听力损失相关的日常生活中的残疾。先前的研究已经检查了感音神经性听力损失的 APHAB 结果，我们不知道听力损失的类型是否会影响问卷结果。
评估 APHAB 的瑞典语翻译的心理测量特性，以及在临床样本中人口统计学变量对结果的影响。
在临床样本中进行描述性、横断面研究。
48 名无助听器使用经验的参与者首次寻求听力康复。这些参与者代表不同程度的听力损失和三种类型的听力损失：单侧混合性、双侧混合性和双侧感音神经性听力损失。
进行纯音测听，参与者在诊所的第一次预约时完成未助听的 APHAB。检查问卷的心理测量特性，并研究年龄、性别、听力损失类型和听力损失程度对 APHAB 评分的影响。
心理测量特性表明测试-重测信度高，但在混响（RV）分量表的特性方面似乎存在一些潜在问题。RV 分量表的项目未能作为单独的组成部分加载，通过删除四个项目（项目 1、9、11 和 16），该分量表的内部一致性得到改善。除了少数例外，APHAB 评分不受年龄、性别或听力损失类型的影响。APHAB 评分通常受最佳和最差耳朵的听力损失程度的影响。
通过重新措辞或删除一些项目来解决 RV 分量表中发现的不一致性，可以进一步改进瑞典语版的 APHAB。听力损失程度对问卷结果有一定影响，但不受年龄、性别和听力损失类型的影响。
